结果：osce成绩逐年提高，临床综合技能达到了教学大纲的要求。
Results: the marks obtained from OSCE is seen rising year by year, and the student's clinical synthetic ability meets the requirement of syllabus.
方法根据本课程的特点和教学大纲的要求，以综合评价的考核方式来替代以往的以闭卷考试为主的考核方式。
According to the characteristics and requirement of the curriculum a comprehensive evaluation is suggested to replace the conventional written examination.
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